Audiological benefit and subjective satisfaction with the ADHEAR hearing system in children with unilateral conductive h
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OTOLOGY
Audiological benefit and subjective satisfaction with the ADHEAR hearing system in children with unilateral conductive hearing loss D. Hirth2 · R. Weiss1 · T. Stöver1 · S. Kramer2 Received: 12 May 2020 / Accepted: 8 September 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objective The ADHEAR system (MED-EL, Innsbruck, Austria) is a new adhesive bone conduction hearing aid. This study evaluates the audiological benefit and subjective satisfaction as well as the manageability in everyday life in children with unilateral conductive hearing loss. Methods Ten children with unilateral hearing loss of different origin were included in the study. The audiological assessment included sound field audiometry and speech intelligibility in quiet and in noise, which was tested unaided and after 4 weeks of wearing the hearing system. Subjective benefit and satisfaction with the system was assessed using the SSQ for parents. With a second system-specific questionnaire, suitability for everyday use and quality of life were queried. Results With ADHEAR, speech perception in quiet improved by 44%. The word recognition score in noise improved from 11.7% in the unaided situation to 46.7% with the ADHEAR system. The SSQ for parents demonstrates a subjective benefit and satisfaction with the system. Conclusion ADHEAR is an effective treatment option for children with unilateral conductive hearing loss. Especially children who are not eligible for semi-implantable hearing systems or do not accept hearing devices on a softband can benefit from this device. Keywords Unilateral conductive hearing loss · Bone conduction hearing aid
Introduction Children with single-sided conductive hearing loss have various technical treatment options to achieve a sufficient hearing sensation. These include percutaneous conduction devices (PBCD) such as BAHA® (Cochlear Corp., Sydney, Australia) [1] or semi-implantable hearing systems such as Bonebridge or Vibrant Soundbridge (MED-EL, Innsbruck, Austria). However, surgical intervention is required to use these systems. Furthermore, semi-implantable hearing systems are also subject to admission restrictions regarding the age of the children at implantation, so they cannot be used in all patients. * D. Hirth [email protected] 1
Klinik für Hals‑Nasen‑Ohrenheilkunde, Universitätsklinikum Frankfurt, Frankfurt, Germany
Klinik für Hals‑Nasen‑Ohrenheilkunde, Abteilung für Phoniatrie Und Pädaudiologie, Universitätsklinikum Frankfurt, Frankfurt, Germany
2
For patients who do not want to undergo surgery or do have a high anesthesia risk due to secondary illnesses, these systems cannot be applied. Various non-implantable bone-conduction hearing aids which are attached to a softband or spectacles are available for these patients [2, 3]. A disadvantage of these treatment options is their visibility, which can lead to perceived or experienced stigmatization in children, potentially leading to poor acceptance of the hearing aids. Headband systems also require pressur
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